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NPI Code Detail

MEDICARE: MOHAMMAD AMJAD MD

MEDICARE:   MOHAMMAD  AMJAD  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician21511WV

General Provider Information

NPI Number : 1770536583
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOHAMMAD AMJAD MD
Provider Business Mailing Address
First Line : 105 NORTHERN WAY
Second Line :
City : MOUNT HOPE
State : WV
Zip : 25880-8830
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 105 NORTHERN WAY
Second Line :
City : MOUNT HOPE
State : WV
Zip : 25880-8830
Country : US
Telephone Number : 304-255-2121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2006
Last Update Date : 07/08/2007

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Directions to “ MOHAMMAD AMJAD MD” Practice Location

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